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The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis

On Friday, January 23, 2026, the Trump administration released the latest expansion of the Mexico City Policy (MCP). The controversial policy, which had restricted foreign non-governmental organizations (NGOs) from performing or promoting abortion as a method of family planning as a condition of receiving most U.S. global health aid, has been broadened significantly to include more organizations (not just foreign NGOs) and most U.S. foreign aid. Also, the policy now prohibits activities related to diversity, equity, and inclusion (DEI) as well as support for gender-affirming care and services, and legal protections based on gender identity (among other activities). This move marks the most significant expansion of the MCP in more than 40 years — extending its reach far beyond the policy’s expansion during Trump’s first term.

This analysis assesses the potential reach of the latest expansion of the Mexico City Policy, which is now part of the Promoting Human Flourishing in Foreign Assistance (PHFFA) Policy.

The Mexico City Policy: An Explainer

Questions for the America First Global Health Strategy

Global Health Budget Summaries

Overview of President Trump’s Executive Actions on Global Health

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Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

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The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

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Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • The U.S. Government and Global Health Security

    Issue Brief

    This brief examines the U.S. government's efforts in global health security—that is, activities to help countries prepare for and develop capacities to address epidemic and pandemic diseases. It provides history and background, outlines the U.S. agencies carrying out these efforts, describes funding, and highlights key policy issues going forward.

  • Donor Government Funding for Family Planning in 2016

    Report

    A new Kaiser Family Foundation report finds that donor government funding for family planning declined in 2016 for the second year in a row, decreasing to US$1.19 billion compared to US$1.34 billion in 2015. While the declines over this two-year period were largely due to exchange rate fluctuations and the timing of donor disbursements which accounted for 78 percent of the overall decrease, there were actual cuts in funding from some donor countries which accounted…

  • What Is the Scope of the Mexico City Policy: Assessing Abortion Laws in Countries That Receive U.S. Global Health Assistance

    Issue Brief

    This data note assesses how the Mexico City Policy affects the provision of legal abortion services in U.S. assisted countries. The policy requires foreign NGOs to certify that they will not “perform or actively promote abortion as a method of family planning” using funds from any source (including non-U.S. funds) as a condition for receiving most U.S. government global health assistance.

  • Congress Releases FY17 Omnibus

    Fact Sheet

    On May 1, 2017, Congress released the FY 2017 Omnibus bill (and explanatory statements), which provides funding for the U.S. government through the rest of the fiscal year including for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC). Total known* funding for U.S. global health programs in the FY 2017 Omnibus is $9.4 billion, which is approximately $235…

  • Senate Appropriations Committee approves FY 2018 State & Foreign Operations (SFOPs) and Health & Human Services (HHS) Appropriations Bills

    Fact Sheet

    On September 7, 2017, the Senate Committee on Appropriations approved both the FY 2018 State & Foreign Operations (SFOPs) and  the FY 2018 Labor, Health & Human Services (LHHS) appropriations bills. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID), while the LHHS appropriations bill includes funding for global health programs at the Centers for Disease Control and Prevention (CDC) and the…

  • Mapping the Donor Landscape in Global Health: Malaria

    Report

    This report maps the network of international assistance aimed at addressing the global impact of malaria. The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • Kaiser/UNAIDS Study Finds No Real Change In Donor Funding For HIV

    News Release

    This report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) evaluates international efforts to finance the response to the AIDS epidemic. The annual funding analysis finds donor governments disbursed US$7.86 billion toward the AIDS response in low-and middle-income countries in 2012, essentially unchanged from the US$7.63 billion level in 2011 after adjusting for inflation.

  • Exploring HHS’ Role in Global Health & New Global Health Strategy

    Event Date:
    Event

    This Kaiser Family Foundation and U.S. Department of Health and Human Services briefing explores the Department's role in global health and its Global Health Strategy. The event features opening remarks by HHS Secretary Kathleen Sebelius.

  • The President’s Budget Request: What Does It Mean For U.S. Global Health Efforts?

    Event Date:
    Event

    On Tuesday, February 21, the Kaiser Family Foundation held a live webcast to assess President Obama's fiscal year 2013 budget proposal and potential implications for global health. The webcast featured a panel of global health policy experts who analyzed the Administration's proposal and how it compares to current funding levels, what may happen as the budget winds its way through Congress, and the implications for the future of U.S. global health programs. Panelists: Ambassador Mark…